Willie Goss Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

318 Issued in MS

Legal business name

WILLIE GOSS AMBULANCE SERVICE

Practice address

806 N Jackson St
Kosciusko, MS 39090-3130

Phone

(662) 289-1523

Fax

(662) 289-1597

NPI assigned

May 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Willie Goss

Title

President

Phone

(662) 289-1523

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265488746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390900303",
            "telephone_number": "662-289-1523",
            "fax_number": "662-289-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N JACKSON ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903130",
            "telephone_number": "662-289-1523",
            "fax_number": "662-289-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIE GOSS AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-289-1523"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00552958",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82698300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-0239)
• John Gray Wallace, M.D.
• Jennifer J Warrington, PHARMD
• Sarah Washington, MSW
• Ashley Wilkerson
• Elizabeth Mae Wilson, CCC-SLP
• Abigail Joiner Wiltshire, MD
• Sharhonda Wingo
• James J Withers, MD
• Alma Wollfarth, PTA

• Ambulance in Kosciusko, MS
• Providers in Kosciusko, MS by specialty
• Ambulance in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.